Kevin Foster | Roxbury, MA • PECOS Search

Kevin Foster

Counselor

Behavioral Health & Social Service Providers

520 Dudley St, Roxbury, MA 02119-2769

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Foster does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073064812
Provider Type
Individual
Full Name
Foster, Kevin
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/17/2016
Last Updated
10/17/2016

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Mailing Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer